Provider Demographics
NPI:1497715403
Name:NEBEL, DONALD PUAL JR (DC)
Entity type:Individual
Prefix:DR
First Name:DONALD
Middle Name:PUAL
Last Name:NEBEL
Suffix:JR
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:4328 OLD WM PENN HWY
Mailing Address - Street 2:SUITE 4296
Mailing Address - City:MONROEVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:15146
Mailing Address - Country:US
Mailing Address - Phone:412-856-6262
Mailing Address - Fax:412-856-9637
Practice Address - Street 1:4328 OLD WM PENN HWY
Practice Address - Street 2:SUITE 4296
Practice Address - City:MONROEVILLE
Practice Address - State:PA
Practice Address - Zip Code:15146
Practice Address - Country:US
Practice Address - Phone:412-856-6262
Practice Address - Fax:412-856-9637
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-03-24
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADC004004L111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA1188485002Medicaid
PANE403615Medicare ID - Type Unspecified
PA1188485002Medicaid